| NPI | 1992355598 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CO LPCC.0017059) |
| Enumeration Date | 2019-09-16 |
| Last Update Date | 2019-09-16 |